A Comprehensive Assessment Towards Congenital Spinal Deformity
Have you ever heard of congenital spinal deformity? Maybe no and maybe yes! Well, worry not! I’m Dr Vijay Gupta (neurosurgery specialist) and I’m going to tell you all about congenital spinal deformity in laymen terms. As you may have been seen in some babies that they are born with an improperly developed or incomplete constructed spine. These conditions, known as congenital spinal deformities, causes problems associated with spinal structure as children grow older. Severe deformities that cause spinal cord damage are quite rare, occurring in only one in every 2,000 children. However, if you left untreated, congenital spinal deformity may cause:
- Difficulty in breathing or walking
- Organ development problems (eg. heart, kidney, or urinary tract)
- Paralysis of the legs and lower body.
There are several common symptoms of congenital spinal deformity your child may be facing.
Now let’s get deep into the types of congenital spinal deformity.
A child may have one or several congenital spinal deformities, including:
Scoliosis: Spinal bend or twist sideways, causing pain and disability in severe cases
Children may also have other nerve or muscle diseases – such as cerebral palsy or spina bifida – that can cause spinal deformity.
Let me tell you further about common congenital spine abnormalities,
Spinal cord tethered: The tethered spinal cord is a neurological condition that pulls the spinal cord like a rubber band. This occurs when abnormal tissue attachments limit spinal motion. I see many conditions that can cause this, but it is closely related to spina bifida (myelomeningocele), abnormal spinal cord fat (lipomyelomeningocele), or other abnormalities. In some of my patient cases, the tethered spinal cord is related to a tighter than normal relation (filum terminal) between the spinal cord and the tailbone.
Abnormal spinal alignment: Abnormalities in the spinal alignment can be a cause of pain, loss of function, and breathing restrictions. If I described an unusual alignment then:
Kyphosis: Bone deformity causes the spine to bend forward.
Lordosis: The spine is bent backward.
Scoliosis: Abnormal bones twist the spine.
Let me tell you that the symptoms of congenital spine abnormalities may vary depending on the specific position of the child, including:
- Difficulty walking
- Difficulty sitting
- Shortness of breath
- Bathroom issues (accidents, incontinence, constipation)
Let’s move forward with the conversation and let me tell you about the diagnosis for congenital spinal deformity.
Our pediatric orthopedics can help if your child has a congenital spine disorder or has been suffering from a disease or injury.
To congenital spinal pathology, we provide conservative treatment such as exercise therapy or braces- whenever possible. More severe conditions may require surgery. Our specialist will suggest best treatment options based on your child’s condition and overall health.
At our place, you can find many treatment options available for the children. The treatments focuses on reducing pain, restoring function, and healing harmful abnormalities. Your child’s prognosis will depend on the severity of his or her condition.
The Treatment includes:
Hanging on: Some children with scoliosis respond well to the use of a brace, which keeps the spine in alignment as the child grows.
Surgery: There are several types of surgery for congenital spine disformities:
- Scoliosis: Relay at VK NEUROCARE Spine & Brain Specialist provides a multi-disciplinary, comprehensive service for the treatment of children with scoliosis. This approach involves an assessment of the patient’s breathing and nutritional status. VK NEUROCARE Spine & Brain Specialist provides the most advanced surgical treatment, including spinal cord monitoring and computer navigation of hardware.
- Spinal cord tethered: There are several options available in our Neurocare center for treating children with spinal surgery: The spine can be shortened to relieve tension on the nerves. The vein itself can be freed by separating scar tissue, fat, or releasing a tight filum terminal in selected patients. Many patients see real benefits after surgery and recover lost work.
Well, I’m looking forward to get into your queries further! Please put down your comments and I will respond to your questions soon.